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Maryland rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.16 / $1,274.11 / $2,966.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.12 / $1,028.74 / $1,028.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.96 / $1,623.88 / $2,319.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.65 / $771.56 / $1,138.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.09 / $1,150.09 / $1,314.57